Facility Evaluation Report

At 1:15pm, Licensing Program Analyst (LPA) Perchui Milena Khurshudyan arrived at the facility to conduct a required unannounced annual inspection. Upon arrival, LPA met with the Administrator Gayane Aghabekyan who granted access to the facility. LPA explained the reason for the visit. Entrance interview conducted.

Today's site visit consisted of LPA touring the physical plant inside and outside and observed the following:

Facility maintains a temperature of 73°F. Facility is licensed for capacity of six (6) residents, of which six (6) may be Non-Ambulatory and one (1) bedridden. Facility also has a hospice waiver for five (5) residents. There are four (4) bedrooms designated for resident’s use, and one staff room. LPA observed all bedrooms to be appropriately furnished with a bed, nightstand, a chair, extra linen and have appropriate lighting.

The facility also has three (3) bathrooms. LPA observed all bathrooms have soap; paper towels and extra towels and linens were readily available. The hot water temperature measured 117.3F. There are grab bars for each toilet and shower, bathrooms have non-skid mats. All trash cans in bathrooms had fitted lids to protect them from cross contamination. The facility has alarms on all exit doors.

At 2:10pm, LPA observed medications, residents and staff files are kept inside the commercial cabinet located in the office area next to the entrance and observed to be inaccessible to residents in care. There is a complete first-aid kit in the cabinet with all required supplies and with the first aid manual. The facility has alarms on all exit doors.